
The aging neck suffers from several distinct issues that all, in many instances, are peculiar to the neck only. Lax skin, muscles, and soft tissues (fat) can be operated on directly with or without a midface rejuvenation procedure. The aging of the neck occurs earlier than other facial aging and is more dependent on genetics and weight loss/gain. It is important to remember that neck rejuvenation occurs from the mandibular jawline to the area of the "Adam's Apple" and first transverse cervical wrinkle.
The simplest and most straight forward of the neck procedures is the Submental Lipectomy where the fat is suctioned from the neck through three tiny stab wound incisions: one behind each earlobe, and the third beneath the chin. Submental lipectomy as a stand alone procedure is effective as long as the skin tone is reasonable and there is not evidence of muscle laxity.
The presence of cervical bands may be camouflaged by the fat or may exist in older patients who have minimal fat.
Regardless, cervical bands may receive some temporary improvement with Botox injections but the definitive repair is called an Anterior Necklift. This includes submental lipectomy as well as a small submental incision to gain access to the bands which are surgically repaired and also tightened.
For those individuals who have the quiniella of neck deformities including fat, lax muscle bands, and excessive skin will require a "necklift." The Necklift includes the anterior necklift with incisions around the earlobe and behind the ear to tighten and remove the excess skin of the neck.


Before After


Before After
Necklift surgery can be performed under a local anesthestic as an outpatient procedure. There are three different degrees of necklift surgical procedures depending on your specific cosmetic needs: Neck Liposuction, Anterior Necklift, and Full Necklift. Liposuction of the neck involves very small incisions hidden behind the ear and on occasion one tiny incision under the chin. The Anterior Necklift involves a small incision underneath the chin. The Full Necklift involves more extensive incisions under the chin and additional ones hidden behind and around the ear.
Liposuction of the neck can be very rewarding. This surgical procedure is best for patients with good skin tone. Excess fat can be suctioned out using a local anesthestic. Patients experience mild bruising and swelling following surgery. Most patients are able to resume normal activities in less than a week following neck liposuction. Patients with excess skin and poor skin tone usually will require more than just liposuction of the neck.
The Necklift Surgical Procedure will vary depending on your specific cosmetic needs. Since there are three different levels of necklift surgery, your recovery will vary depending on your specific surgery. Most patients should plan to be off work for one week following surgery. Patients should refrain from strenuous physicial activity for 2 to 4 weeks following surgery. Dr. Howard and his medical staff will advise you on your specific necklift recovery instructions during your consultation.
Necklift is a cosmetic surgical procedure and is not considered medically necessary by insurance companies. The costs of necklift can vary depending on your specific necklift surgical needs. Necklift Surgery cost ranges between $2500 and $6000.
Schedule a Consultation with Dr. Paul Howard